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Is chemo required for my mother after colorectal surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mother underwent laparoscopic surgery for her colorectal cancer 45 days ago. And now she is advised to undergo chemotherapy. Please suggest a good treatment for my mother based on the reports attached.

Thanks.

Hello,

Welcome to icliniq.com.

She has carcinoma of the sigmoid colon, and the stage of cancer is III. For this, she will need at least six chemotherapy cycles, which are given every three weeks. Folfox or Capox chemotherapy will be done depending on the patient's fitness. As this is a curative disease, chemotherapy helps to prevent the recurrence of the disease.

I hope this helps.

Thank you.

Patient's Query

Hello doctor,

Thanks for your reply.

I have one more question: how does the doctor know that chemotherapy is working after a few sessions? Is there any measurement or test that a doctor uses before and after chemotherapy to decide whether the patient needs chemotherapy or not?

Thanks.

Hello,

Welcome back to icliniq.com.

As the surgery has already been done, there is no cancer in her body right now. Chemotherapy is given to cut out the microscopic cancer cells in the blood that are not visible on any scans and not removed during surgery, as they are too small to be removed.

Scientific data have proven that chemotherapy after surgery helps in preventing the disease from coming back.

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At November 22, 2021
Reviewed AtDecember 12, 2025

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